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A Toddler Got a Nasal Swab Test but Left Before Seeing a Doctor. The Bill was $445.

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kffhealthnews.org – Bram Sable-Smith – 2024-11-27 04:00:00

SUMMARY: In December, 3-year-old Ryan Wettstein Nauman from Peoria, Illinois, experienced inconsolable crying, prompting her mother, Maggi, to take her to the emergency room. After waiting, Ryan stopped crying and they decided to leave without seeing a doctor. Months later, they received a $445 bill for a covid and flu test conducted during their brief ER visit, despite Ryan only being triaged. After insurance adjustments, they owed $298.15. The high hospital markup and insurance rules post-public health emergency raised concerns for Wettstein, leading her to reconsider future ER visits in favor of urgent care options for non-life-threatening issues.

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Kaiser Health News

Florida’s Deloitte-Run Computer System Cut Off New Moms Entitled to Medicaid

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kffhealthnews.org – Daniel Chang and Samantha Liss – 2024-11-26 04:00:00

SUMMARY: In May, Mandi Rokx, a Florida mother, received a notice that she and her baby would be cut from Medicaid despite being eligible. Florida’s 2021 law promised 12 months of continuous coverage post-birth, but a computer glitch in the state’s eligibility system, run by Deloitte, led to wrongful cuts. This error, along with others during Florida’s Medicaid review process, has affected many new mothers. A class-action lawsuit highlights how these errors led to loss of coverage for eligible individuals. While Rokx regained coverage after legal intervention, the broader issues persist, impacting thousands across multiple states.

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Kaiser Health News

Indiana Hospitals Pull Merger Application After Pushback Over Monopoly Concerns

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kffhealthnews.org – Samantha Liss – 2024-11-26 04:00:00

SUMMARY: Two rival hospitals in Terre Haute, Indiana, withdrew their merger application just before a state ruling amidst public backlash against hospital monopolies. The proposed merger of Union Health and Terre Haute Regional Hospital, the only acute care providers in the area, would have created a single hospital operator for 58,000 residents. Although federal laws block monopolies, the hospitals sought approval under a state “Certificate of Public Advantage” (COPA) law. Concerns raised included reduced access, higher prices, and fewer choices. Union Health intends to resubmit a revised application by a July 2026 deadline after addressing regulators’ feedback.

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Immigration Detention Center Contractor Sues Over California Health Inspections

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kffhealthnews.org – Vanessa G. Sánchez – 2024-11-26 04:00:00

SUMMARY: GEO Group, a major private prison contractor, has filed a federal lawsuit against California officials, aiming to overturn a state law that permits local public health officials to inspect immigration detention facilities. The company claims the law, enacted by Governor Newsom, infringes on federal authority and argues for intergovernmental immunity as a contractor. Critics highlight ongoing health issues in detention centers, asserting that GEO’s legal maneuvers could compromise detainee welfare. The law allows inspections for compliance with health standards, addressing past concerns over unsanitary conditions. The litigation will undergo a first hearing in February 2024.

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